NPI | 1982473781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019382) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F08231284) |
Enumeration Date | 2023-12-21 |
Last Update Date | 2024-04-08 |